| NPI | 1235833716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4974) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-12-18 |